Six-plus years after surgery, I’m still incredibly happy with both the recovery and with the results (vision I think is still better than 20/20, but as I age it’s naturally deteriorating). I have suffered (and still ‘suffer’) one side-effect: haloing. Halos can occur regardless of whether you’ve gotten Lasik, which cuts a flap in the cornea (never get Lasik!), or PRK/Epi-Lasik/Lasek (note the e in Lasek), which do not cut flaps in the cornea.

What is Haloing?

Haloing is an effect where your pupil opens wider than your corrected zone on your cornea (effectively a lens carved into the cornea itself). The image hitting your eye is simultaneously well-corrected and uncorrected. This results in an faint (typically less uncorrected light is getting through) overlapping blur, often with a starburst-like effect.

For me, before surgery, I would look at lights in the city night sky and see some form of haloing even with my contacts and glasses. I researched what it could look like and compared with what I was already getting. Hopefully the reader can make the same decision process.

I knew going into my surgery that my absolute widest pupil diameter was about 8-8.5mm. I measured my own in a *completely* dark room using a camera with a flash that would bounce off the ceiling and capture the pupils at the instant before they reacted to the flash. My laser doc measured my pupils in a semi-dark room and got about 6.5mm.

My highly scientific pupillary measurement process.

I knew that the system’s true correction zone (ignore any taper zone, that’s worthless, as I’ve written about in my Pre-Op Preparation article) was about 6-6.5mm, so I knew that I was going to be susceptible to haloing under very dark conditions. And I am, and will be forever. Unless I get my eyes done again in later years after my vision naturally deteriorates (and assuming these future machines have wider treatment zones).

Laser eye surgery is a very popular procedure for correcting near- and far-sightedness as well as astigmatism. Since the first techniques were developed in the early 1980s, many millions of people have gone under the laser hoping to eliminate the need for contacts and glasses. I myself underwent PRK in July, 2011. As is my nature, before I leapt, I looked very closely at the available information on laser eye surgery. What I found was surprising, even disturbing.

If you think there is only one type (or ten types) of laser eye surgery commonly performed, you are seriously under-informed about the entire procedure.

It wasn’t until I spent a great many hours investigating the procedure in detail, that I realized how stunningly little information is available to those who are performing their own casual investigation into laser eye surgery. I am dismayed at the lack of information or the outright misinformation provided by practitioners of the surgeries, no doubt in order to prevent scaring off their potential clientele.

The truth is that there are a huge variety of laser eye surgeries, all masquerading under one or two common names. If you think there is only one type (or ten types) of laser eye surgery commonly performed, you are seriously under-informed about the entire procedure. For example, two people, each having had the Lasik variety of surgery performed, could have had completely different surgeries, using completely different procedures, and with completely different risks, side-effects, and expected outcomes.

It is absolutely critical to know exactly why you would choose PRK, Lasek, Epi-Lasik, or especially Lasik.

I hope the following article will provide prospective patients a strong base-level of necessary understanding of the currently available methods of laser eye surgery. Rather than trusting what I provide here as gospel, I prefer that the reader take this article as a jumping-off point for their own education.

For reasons that will become readily apparent after reading this article, I strongly recommend against the corneal flap-based Lasik procedures. Ultimately though, you must find your own answers. Before undergoing surgery, you should educate yourself on the risks involved, you should know what questions to ask of a potential surgeon, and most importantly, it is absolutely critical to know exactly why you would choose PRK, Lasek, Epi-Lasik, or especially Lasik.